Wagner, Elisabeth P

Wagner, Elisabeth P is an individual health care provider with primary practice located at 4460 S Highland Dr , Salt Lake City UT 84124-3543. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wagner, Elisabeth P can be contacted via phone (888) 949-4864.

Contact Information

Primary practice address
4460 S Highland Dr Salt Lake City UT 84124-3543
Phone: (888) 949-4864
Fax: (206) 901-2010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1760095152
LBN Legal business name Wagner, Elisabeth P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2020
Last updated Jan 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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